HomeMy WebLinkAbout117 Division St_BLD6037_2026 - RESIDENTIAL PLUMBING APPLICATION
>� Community and Economic Development
City of Arlington•18204 59th Ave NE•Arlington,WA 98223•Phone(360)403-3551
This application is for new,repaired,altered or replaced plumbing installation for existing residences. Please fill out
all pages of this application and include all information,
The City of Arlington does not require a permit to stop leaks or clear stoppages,unless the piping is repaired,altered
or replaced.
Type of Permit: ( New Installation ❑ Addition ❑ Alteration ❑ Repair
Property Address: � ���;�����,15�' � Project Valuation:
Lot#: Parcel ID No.: i b7 Preferred Contact: O Owner Contractor
Project Description: ` - Y
Owner Name: Home No.:
Email Address: `�Q',1`Q YY11�S�0 � -.�I(-)tA Cell No.:
Mailing Address: t1� �� State:
Contractor Name: bil0Ace No.: I L.
Email Address: �C;�11jYy 17�1� �,�1, Cell No.:
Mailing Address: 5-� Y.`� .N4t City: }��/ 1 ►?t��'(,'y� State: _ Zip:
L&I Contractor License Number: �.� L 1' �� Expiration Date: 11
0 12—()L
• All hose bibs required to be equipped with Atmospheric Vacuum Breakers per ASS 1019
• All water supplies at 80psi or greater shall have Pressure Reducing Valves(PRV)
• Cross-Connection-Control may be required
Proposed Interior Water Piping Size: ❑ sh" ❑s/s" ❑3/4" ❑ 1"
Proposed Interior Piping Material: ❑CPVC ❑Brass ❑Copper ❑PEX-AL-PEX ❑PEX ❑Galvanized Steel ❑Other
Proposed Exterior Water Piping Size: ❑ 1h" ❑ s/9" ❑3/4" ❑ 1" ❑ 11h" ❑2"
Proposed Exterior Piping Material: ❑PVC ❑PE ❑Copper ❑PEX-AL-PEX ❑PEX-AL-PE ❑PEX ❑Other
Proposed Drain-Waste-Vent(DWV) ❑Schedule 40 ABS DWV ❑ Copper ❑Galvanized Steel ❑Cast Iron
Material: ❑Schedule 40 PVC DWV ❑ Brass ❑Other
Proposed Drain-Waste-Vent(DWV) ❑ ,h" ❑sw ❑ 3/4" ❑1" ❑ 11h" ❑2" ❑3" 04"
Piping Size:
Residential plumbing permits will be assessed a base fee,fee per unit,and inspection fee(plan
review fee per Table 46 ma be re uired for certain rmits
Type of Fixture No.of Fixtures Cost per Fixture Subtotal
Additional Plan Review fees x $75.00 =
Alteration/repair piping x $15.00 =
Backflow Assembly x $25.00 =
Base Plumbing fee 1 x $25.00 = $25.00
Bath Shower Combo x $15.00 =
Buildin Main Waste x $25.00 =
Clothes Washer x $15.00 =
Dishwasher x 115.00 =
REV03.2022 Page 1 of 2
Residential plumbing permits will be assessed a base fee,fee per unit,and Inspection fee(plan
review fee per Table 4-6 maybe re ulred for certain permits
Drinking Fountain x $15.00 -
Floor Drains x $15.00 -
Grease Interceptor x $75.00
Grease Tra x $25.00
Hose Bibb x $15.00 -
Icemaker Refri erator x $15.00 Irrigation-per meter _x $25.00 -
Kitchen Sink&Disposal x $15.00 -
1 Laundry Tra x $15.00 -
Lavatory x $15.00 -
I Medical Gas Piping 5 5 Inlets/Outlets x $60.00 =
Medical Gas Piping for each additional Inlet/ x $5.00 =
Outlet >5
Miscellaneous-regulated by plumbing code,not x $15.00 =
otherwise specified
Pretreatment Interceptor x $15.00 Re-inspection Fee x $75.00 -
Roof Drains x $15.00 =
Shower(only) x $15.00 -
Sink(bar,service,etc. x $15.00 -
Toilets x $15.00 -
Urinal x $15.00 -
Vacuum Breakers x $25.00 -
Water Heater x $25.00 =
MODEL NO.:
Water Heater-Tankless x $25.00 =
MODEL NO.:
Permit Fee
Inspection Fee $75.00
Processing/Technology Fee $25.00
- Totals , O,
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of
the ab ribed property will be in accordance with the laws,rules and regulation of the State of Washington.
Opp I l-i )'--�L,VA
S Print Name Date
FOR STAFF USE ONLY
PERMIT# ACCEPTED BY. DATE STAMP
REV02.2024 Page 2 of 2
CITY OF ARLINGTON
18204 59th Avenue NE,Arlington,WA 98223
INSPECTIONS:360-403-3417-Permit Center:360-403-3551
- BUILDING PERMIT Er
117 Division St Permit#:6037
Parcel#:00461800601400 PERMIT EXPIRES 180 DAYS AFTER
DATE OF ISSUANCE.
Scope of Work:Install BG- 1 Grease Trap Valuation:1500.00
APPLICANT
OOSTERWYK JAMES&LESLIE Curtis Mcilrath Brookside PLBG&Pipeworks LTD
28209 40TH AVE NW 3527 238th St NE 5400 152nd Ave SE
STANWOOD,WA 98292 Arlington,WA 98223 Snohomish,WA 98290
425 489 0123/425 923 9927 425 489 0123
LIC:604143 074 EXP:05/31/2025
LIC:BROOKPP791RI EXP:01/03/2026
MECHANICAL CONTRACTOR PLUMBING CONTRACTOR
Brookside PLBG&Pipeworks LTD
5400152nd Ave SE
Snohomish,WA 98290
425 489 0123
LIC#: EXP: LIC#:BROOKPP791R1 EXP:01/03/2026
JOB DESCRIPTION
PERMIT TYPE: COMMERCIAL PLUMBING CODE YEAR: 2021
STORIES: I CONST.TYPE: VB
DWELLING UNITS: 0 OCC GROUP: B;Business
BUILDINGS: I OCC LOAD:
- PERMIT APPROVAL
The issuance or granting of this permit shall not be construed to be a permit for,or approval of,any violation of this Code or any
other ordinance or order of the City,of any state or federal law,or of any order,proclamation,guidance advice or decision of the
Governor of this State.To the extent the issuance or granting of this permit is interpreted to allow construction activity during any
period of time when such construction is prohibited or restricted by any state or federal law,or order,proclamation,guidance advice
or decision of the Governor of this State,this permit shall not authorize such work and shall not be valid.The building official is
authorized to prevent occupancy or use of a structure where in violation of this Code,any other City ordinances of this jurisdiction or
any other ordinance or executive order of the City,or of any state or federal law,or of any order,proclamation,guidance advice or
decision of the Governor.The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or
on the basis of incorrect,inaccurate or incomplete information,or in violation of any City ordinance,regulation or order,state or
federal law,or any order,proclamation,guidance or decision of the Governor.
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK
AUTHORIZED THEREBY;NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE
STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND
ALL FEES ARE PAID.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN
MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.IBCl l0/IRC110.
SALES TAX NOTICE: Sales tax relating to construction and construction materials in the City of Arlington must be reported on
your sales tax return form and coded City of Arlington#3101.
06/26/2024
Applicant Signature Date Building Official Date
CONDITIONS
APPROVED AS SUBMITTED.ADHERE TO THE INSTALLATION OF THE APPROVED EQUIPMENT.APPROVED
JOB COPY SHALL BE ONSITE FOR INSPECTIONS. CALL FOR INSPECTIONS.
The property owner shall ensure that the construction project complies with all applicable zoning codes and regulations.The property
owner shall also ensure that the construction project does not cause any adverse impact on the surrounding environment or
community.The property owner shall be responsible for obtaining all necessary permits and approvals from the relevant authorities
before commencing construction.The property owner shall ensure that the construction project complies with all applicable design
review requirements.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE
PROPERTY ONLY.ANY CONSTRUCTION ON THE PUBLIC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS,
MARQUEES,ETC.)WILL REQUIRE SEPARATE PERMISSION.
PERMIT FEES -
Date Description Fee Amount
06/26/2024 Processing/Technology $25.00
06/26/2024 Plumbing Commercial Plan Review $51.81
06/26/2024 Inspection $75.00
06/26/2024 Grease Interceptor $75.00
Total Due: $226.81
Total Payment: $226.81
Balance Due: $0.00
CALL FOR INSPECTIONS
Call by 3:30 pm for next day inspection,allow 48 hours for Fire Inspections
When calling for an inspection please leave the following information:
Permit Number,Type of Inspection being requested,and whether you prefer morning or afternoon
INSPECTION INFORMATION I Pass/Fail
*GREASE TRAP SPECS*
20 GPM / 70 LBS
25 GPM / 64 LBS
23'
F
iTBUILsING
F ARLINGTON
APPR DEPARTMENT RECEIVED
DATE L,-�'-I- BY 942 JUN 18 2024
NO CHANGES AUTHORIZED
UNLESS APPROVED BY THE
BUILDING INSPECTOR _____ . _ _-. - -.•-__-
Permit#: 6037
Permit Date: 06/18/24
Permit Type: COMMERCIAL PLUMBING
Project Name: Davis/Moe's Espresso
Applicant Name: Curtis Mcilrath
Applicant Address: 3527 238th St NE
Applicant, City, State, Zip: Arlington,WA 98223
Contact: Curtis McIlrath
Phone: 425 489 0123 /425 923 9927
Email: aaplumbingllc247@gmail.com
Scope of Work: Install BG- I Grease Trap
Valuation: 1500.00
Square Feet: 238
Number of Stories: 1
Construction Type: VB
Occupancy Group: B; Business
ID Code:
Permit Issued: 06/26/2024
Permit Expires: 06/26/2024
Form Permit Type: COMMERCIAL PLUMBING
Status: COMPLETE
Assigned To: Kristin Foster
Property
Parcel# Address Legal Description Owner Name Owner Phone Zoning
Section 02 Township 31
Range 05 Quarter SW
Subdivision HALLER CITY
BLK 006 D-00-SEG'D
FOR TAX PURP ONLY-
PAR A CITY OF ARL BLA
FILE NO PLN 2008-0005 OOSTERWYK 461 Automobile
00461800601400 117 Division St REC UND AFN
JAMES&LESLIE Parking(Lot)
200803075121 BEING PTN
LOTS14&15 BLK 6 SD
PLAT LESS ESPRESSO
STAND LOCATED THON
(REFER TO
00461800601401 FOR
ESPRESSO STAND ONLY)
Contractors
Contractor Primary Contact Phone Address Contractor Type License License#
Brookside PLBG& Curtis McIlrath 425 489 0123 5400 152nd Ave PLUMBING COA 604 143 074
Pipeworks LTD SE CONTRACTOR
Brookside PLBG& Curtis McIlrath 425 489 0123 5400 152ndAve PLUMBING L&I BROOKPP791R1
Pipeworks LTD SE CONTRACTOR
Inspections
Date Inspection Type Description Scheduled Date Completed Date Inspector Status
06/26/2024 C19.PLUMBING 06/27/2024 06/27/2024 BUILDING Approved
FINAL
Plan Reviews
Date Review Type Description Assigned To Review Status
06/18/2024 COMMERCIAL BUILDING Approved
PLUMBING
Fees
Fee Description Notes Amount
Processing/Technology $25.00
Plumbing Commercial Plan Review Table 4-1 $51.81
Inspection $75.00
Grease Interceptor $75.00
Credit Card Service $6.80
Total $233.61
Attached Letters
Date Letter Description
06/26/2024 Building Permit
Payments
Date Paid By Description Payment Type Accepted By Amount
06/26/2024 XBP Conf: $226.81
203378761
06/26/2024 Curtis McIlrath 203378761 $6.80
Outstanding Balance $0.00
Notes
Date Note Created By:
06/20/2024 Received plumbing contractor license number Kristin Foster
Uploaded Files
Date File Name
06/26/2024 21235227-20240626 BLD6037 ApprovedDocs.pdf
06/26/2024 21235225-20240626 BLD6037 IssuedPermit.pdf
06/21/2024 21172392-20240617 BLD6037 Application.pdf
06/21/2024 21172391-20240618 BLD6037 Snecs.docx